Provider Demographics
NPI:1801683024
Name:CUEVAS, MAXIEL
Entity type:Individual
Prefix:
First Name:MAXIEL
Middle Name:
Last Name:CUEVAS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 SANS SOUCI BLVD APT 418
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-3041
Mailing Address - Country:US
Mailing Address - Phone:786-774-1696
Mailing Address - Fax:
Practice Address - Street 1:12507 MIRAMAR PKWY BLDG G
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-2909
Practice Address - Country:US
Practice Address - Phone:754-280-3569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health